Student Registration - PEPP Learning

Personal Information

Basic details about the student

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Full Name *

Gender *

Male Female Other

Date of Birth *

Email Address *

Instagram ID (Optional)

How did you hear about PEPP? *

Contact Information

Phone numbers & emergency contact

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WhatsApp Number *

Mobile same as WhatsApp? *

Yes, they're the same No, different number

Mobile Number (if different) *

Emergency Contact Number *

Address Information

Postal address & PIN code lookup

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Postal Address *

PIN Code *

State

District

Place / Post Office

PEPP Course Information

Choose your PEPP programme & batch

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PEPP Course *

PEPP Academic Year *

Payment Information

Fee payment details & proof upload

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Add Coupon / Referral Code

Direct Payment Details

ADNAN V A: 444000044

JIHADA K: 99922661

Amount Paid (₹) *

Date of Payment *

Payment Screenshot *

Upload Payment Receipt

JPG, PNG - click or tap to browse

Student Photo *

Upload Your Photo

JPG, PNG - your best quality photo

By submitting this form I confirm that all information provided is accurate, and I agree to PEPP Learning's Terms & Conditions, Privacy Policy and Refund Policy. *

Your data is encrypted and securely stored. Fields marked * are required.